Eligibility & Enrollment Specialist

LifeLong Medical Care; Berkeley (CA); On-site; USD 43,000 - 48,000; Full time

Benefits offered by this job

Medical, dental, vision coverage (incl

Dependent and domestic partner cover

Ten paid holidays

Flexible Spending Accounts

403(b) retirement savings plan

Job summary

LifeLong Medical Care in Berkeley, CA seeks an Eligibility Specialist to join the Admin site and support patient access to health services. You will prepare eligibility information for visits, assist with applications for Medi-Cal, Covered California, CalFresh, and other programs, and act as registrar and navigator for new patients.

This full-time role offers benefits and requires collaboration with front office staff to ensure accurate eligibility data, timely enrollment, and outreach

Qualifications

• High school diploma or GED required.
• Two years’ experience in a community health care environment or primary care setting.
• Experience with One e-App and Cal-Win.
• Knowledge of Medicare, Medi-Cal, HMO and PPO health insurance policies and procedures.
• Proficient in Microsoft Office; able to type 35 wpm and produce spreadsheets, tables, and flyers.
• Bilingual English/Spanish preferred.

Responsibilities

• Prepare and submit eligibility information for scheduled clinic patients at least two days ahead of the appointment.
• Determine eligibility for Medi-Cal, Covered California, CalFresh, HealthPAC and Contra Costa CARES.
• Assist patients with completing and submitting applications for county and state benefit programs.
• Register new patients, schedule appointments, and provide information on LifeLong Medical Care’s locations, services and programs.
• Track and report data for enrollment and outreach; maintain statistical records.
• Attend eligibility meetings and share information with clinic personnel; some meetings may be off-site.
• Follow up on incomplete applications in OEA and CalHEERS within 30 days.
• Schedule Medi-Cal appointments with On-site Eligibility Workers.
• Pursue certification as an Enrollment Counselor; take classes and tests.

Skills

Organizational skills

Verbal & written communication

Team player

Cultural sensitivity

Bilingual English/Spanish

Education

High school diploma or GED

Some college preferred

Tools

Microsoft Office Suite

Job description

LifeLong Medical Care in Berkeley, CA seeks an Eligibility Specialist to join the Admin site and support patient access to health services. You will prepare eligibility information for visits, assist with applications for Medi-Cal, Covered California, CalFresh, and other programs, and act as registrar and navigator for new patients.

This full-time role offers benefits and requires collaboration with front office staff to ensure accurate eligibility data, timely enrollment, and outreach